Active NPI
Gurney Fields Pearsall Jr., M.D.
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1013976836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K6903
- Practice address
- 2951 Chimney Rock Rd
Suite a
Houston, TX 77056-5924 - Phone
- (713) 522-4037
- Fax
- (713) 787-6401
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K6903 | TX | Primary |
Addresses
Primary practice location
2951 Chimney Rock Rd
Suite a
Houston, TX 77056-5924
Mailing address
5349 Val Verde St
Houston, TX 77056-6220
Phone (713) 622-4127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8R7611 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 20, 2016 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6903 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013976836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5349 VAL VERDE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770566220",
"telephone_number": "713-622-4127",
"fax_number": "713-787-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2951 CHIMNEY ROCK RD",
"address_2": "SUITE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770565924",
"telephone_number": "713-522-4037",
"fax_number": "713-787-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSALL",
"first_name": "GURNEY",
"middle_name": "FIELDS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K6903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8R7611",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.